Individual provider Active NPI

Nicole R Cossaart, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • McAlester, OK
National Provider Identifier
1821048851
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
22862 Issued in OK
Practice address
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone
(918) 426-1800
NPI assigned
May 11, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 22862 OK
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 22862 OK Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 22862 OK

Addresses

Primary practice location

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Mailing address

708 NW 40TH St
Oklahoma City, OK 73118-7046

Other identifiers 1

IdentifierTypeStateIssuer
200070210AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060116000121 OK Practitioner - Internal Medicine 2567484025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCC Duncan IncGroup PAC ID 1759447873, 10 clinicians

Practice addresses (Care Compare)

1407 Whisenant Dr
Duncan, OK 73533-1650
Phone (580) 252-5300

Merit-based Incentive Payment System (MIPS)

Final score
66.46 of 100Reported as group
Improvement activities
20
Cost
68.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22862OKMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC Duncan Inc CurrentSince Jun 15, 2009 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Dec 3, 2024 Accepting new patients
Midwest Hospital Medicine Associates PC CurrentSince Mar 1, 2016 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1821048851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 NW 40TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-426-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSAART",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "22862",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "22862",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "22862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200070210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.